| NPI | 1003847203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H1147) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H1147) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-08-07 |